Healthcare Provider Details

I. General information

NPI: 1255545679
Provider Name (Legal Business Name): NANCY CAROLYN TURNER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 GUINEVERE CT
OPELIKA AL
36801-2501
US

IV. Provider business mailing address

165 MANDY CIR
WETUMPKA AL
36093-2430
US

V. Phone/Fax

Practice location:
  • Phone: 334-741-0336
  • Fax: 334-741-0065
Mailing address:
  • Phone: 334-567-0547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number857
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: